Abstract

LALINDE, Juan et al. Unusual presentation of metastatic skin involvement in a patient with squamous cell carcinoma of the cervix: Case report. rev.colomb.cancerol. [online]. 2022, vol.26, n.1, pp.117-123.  Epub Sep 06, 2022. ISSN 0123-9015.  https://doi.org/10.35509/01239015.734.

Cervical cancer is the fourth most common cancer among gynecological neoplasms globally, representing 85% of cases in developing countries. Cutaneous metastases of gynecological origin are very rare, observed more frequently in ovarian malignancies, followed by endometrial and cervical adenocarcinoma and less frequently those of the squamous cell subtype. Currently there are about 80 case reports cited in the literature of cutaneous metastases secondary to cervical carcinoma, however, none with localization in the skin of the neck originated from a squamous cell histological subtype. In Colombia, there are no reported cases to date.

We present the case of a 43-year-old patient who consulted for abdominal pain, vaginal bleeding and an extensive exophytic tumor plaque of metastatic appearance in the skin of the neck and left shoulder, finding a tumor mass in the cervix with histological confirmation of a squamous cell carcinoma as primary tumor. A diagnosis of stage IVB cervical carcinoma is made, and treatment is initiated with palliative intention with radiotherapy and subsequent systemic chemotherapy. Cutaneous metastatic disease of gynecological origin confers a poor prognosis, with a reported survival of 1 to 37 months after its diagnosis, for which prevention and early diagnosis, particularly in cervical cancer, is of vital importance in the general population.

Keywords : Cutaneous metastasis; skin metastasis; carcinoma of the uterine cervix; cervix carcinoma; squamous cell carcinoma of the cervix.

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